What to do if your baby's neck is red

Redness on the baby's neck is usually caused by a skin disease such as infant eczema. Eczema is a skin disease that causes pain and itching, especially for babies who have low resistance and no awareness. If eczema occurs, it is easy for them to scratch the affected area. This can easily damage the baby's skin. So, what should you do if your baby shows symptoms of eczema?

It is best to find and avoid the allergen. Children who are allergic to milk protein should switch to amino acid formula powder or extensively hydrolyzed protein formula powder.

2. Protect skin barrier function

For exudative and dry eczema, if there is no ulceration on the surface, the child should be given some non-allergic moisturizing cream to play a moisturizing role. For severe eczema, topical corticosteroid cream can be applied short-term, which has obvious anti-inflammatory and antipruritic effects. Be careful to avoid long-term and high-dose application to avoid side effects. If the local ulcer is infected, antibiotic ointment needs to be applied locally for anti-inflammatory treatment.

It is the main means of treating infant eczema, and appropriate medication should be selected according to the stage of eczema. In the acute phase, the main symptoms are redness, swelling, and papules. When there is no exudation, it is recommended to use calamine lotion, calamine furazolidone lotion, glucocorticoid cream or gel; when there is a large amount of exudation, 1% to 3% boric acid solution or 0.1% furazolidone solution should be selected for cold wet compresses. Zinc oxide oil can be used after wet compresses. When there is infection, 1% chloramphenicol zinc oxide oil can be applied externally. In the subacute phase, it is recommended to use 1% to 3% boric acid solution or normal saline for external washing, and apply zinc oxide paste and glucocorticoid cream. For chronic skin lesions, it is recommended to use non-hormonal ointments (such as 20%-40% urea ointment, 5%-10% salicylic acid ointment, etc.) alternately with glucocorticoid ointment.

4. Systemic treatment

(1) Oral antihistamines: Oral antihistamines such as chlorpheniramine and zolpidem can be taken under the guidance of a doctor.

(2) Systemic administration of corticosteroids

Whether taken orally or intravenously, corticosteroids can quickly control symptoms, but they are prone to relapse after discontinuation and cannot be cured. Long-term use can cause dependence and various adverse reactions, so they should be used with caution as appropriate. For patients with generalized acute eczema who do not respond well to other treatments, oral prednisone can be taken for a short period of time and the dosage can be gradually reduced after the condition improves.

(3) Antibiotics can be used systemically to treat children with widespread infection, fever, and increased white blood cell count.

Select topical medications according to the stage of eczema and the dryness and wetness of the disease. In the acute stage, you can grind Cnidium monnieri into a fine powder and add Vaseline to make a paste for external application, or boil Isatis indigotica in water and filter the residue for wet application. In the chronic stage, you can grind Evodia rutaecarpa into fine powder and add vaseline to make an ointment for external application. Sanhuang lotion and Huangbo cream are used externally to treat dry eczema. Apply cold wet compresses with decoction of raw Sanguisorba officinalis, Phellodendron chinense or a mixture of Portulaca oleifera and 2% boric acid water. After the erosion is alleviated, apply indigo oil or egg yolk oil externally to treat seborrheic and eczema. Oral medicines are mainly used to clear heat, detoxify and cool blood.